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A Study to Evaluate KIN-2787 in Participants With BRAF and/or NRAS Mutation Positive Solid Tumors

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Pierre Fabre

Status and phase

Enrolling
Phase 1

Conditions

Melanoma
Solid Tumor, Adult
Non-small Cell Lung Cancer

Treatments

Drug: KIN-2787 and binimetinib
Drug: KIN-2787

Study type

Interventional

Funder types

Industry

Identifiers

NCT04913285
KIN 2787CI101 (Other Identifier)
KN-8701

Details and patient eligibility

About

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of KIN-2787 in adults with BRAF/NRAS-mutated advanced or metastatic solid tumors.

Full description

This is a two-part, open-label, multi-center, dose escalation and dose expansion study in participants with BRAF mutation-positive and/or NRAS mutation-positive tumors designed to evaluate the safety, tolerability, and pharmacokinetics (PK) of KIN-2787, a RAF small molecule kinase inhibitor, to determine a recommended Phase 2 dose (RP2D) of KIN-2787, and to assess the objective response to KIN-2787 therapy alone and in combination with binimetinib, a mitogen-activated protein kinase (MEK) inhibitor.

The dose expansion phase (Part B) will assess the safety and efficacy of KIN-2787 at the recommended dose and schedule in patients with cancers that contain BRAF Class I, II or III mutations, including lung cancer, melanoma, and other selected solid tumors.

Enrollment

400 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Provide written informed consent prior to initiation of any study-specific procedures.
  • Metastatic or advanced stage solid tumor
  • Known BRAF Class I, Class II, or Class III alteration or melanoma with an NRAS mutation as confirmed by previous genomic analysis of tumor tissue or ctDNA.
  • Measurable (Part A and B) or evaluable (Part A only) disease by RECIST v1.1.
  • ECOG performance status 0-1
  • Adequate organ function, as measured by laboratory values (criteria listed in protocol).
  • Able to swallow, retain, and absorb oral medications.

Exclusion criteria

  • Known participants who have received local therapy with either surgery and/or radiation therapy (participants with asymptomatic untreated brain metastasis may be eligible if met with certain criteria)
  • In Part B Dose Expansion, previous treatment with any approved or in-development small molecule BRAF-, MEK-, or MAPK-directed inhibitor therapy.
  • GI tract disease causing an inability to take oral medication, malabsorption syndrome, requirement for intravenous alimentation, or uncontrolled inflammatory GI disease.
  • Active, uncontrolled bacterial, fungal, or viral infection.
  • Participant with a positive test result for SARS-CoV2 infection, is known to have asymptomatic infection or is suspected of having SARS-CoV2, is excluded
  • Women who are lactating or breastfeeding, or pregnant.
  • Participants with any other active treated malignancy within 3 years prior to enrollment

Complete inclusion and exclusion criteria are listed in the clinical study protocol.

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Sequential Assignment

Masking

None (Open label)

400 participants in 4 patient groups

Dose Escalation Monotherapy (Part A1)
Experimental group
Description:
Dose escalation of KIN-2787
Treatment:
Drug: KIN-2787
Dose Escalation Combination therapy (Part A2)
Experimental group
Description:
Dose escalation of KIN-2787 and binimetinib
Treatment:
Drug: KIN-2787 and binimetinib
Dose Expansion Monotherapy (Part B1)
Experimental group
Description:
Dose expansion evaluating the recommended phase 2 dose (RP2D) of KIN-2787
Treatment:
Drug: KIN-2787
Dose Escalation Combination therapy (Part B2)
Experimental group
Description:
Dose expansion evaluating the recommended phase 2 dose (RP2D) of KIN-2787 and binimetinib
Treatment:
Drug: KIN-2787 and binimetinib

Trial contacts and locations

44

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Central trial contact

Claire Fabre, MD; Moutaffian Helene, PhD

Data sourced from clinicaltrials.gov

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